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Related Concept Videos

Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Drug Delivery: Enteral Route01:18

Drug Delivery: Enteral Route

The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
Drugs in...

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Related Experiment Video

Updated: Jun 7, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Elective delivery at less than 39 weeks.

Diane M Ashton1

  • 1March of Dimes Foundation, White Plains, New York, USA. dashton@marchofdimes.com

Current Opinion in Obstetrics & Gynecology
|October 28, 2010
PubMed
Summary
This summary is machine-generated.

Elective deliveries before 39 weeks gestation are common and increase neonatal risks. Quality improvement programs effectively reduce these early-term births, improving outcomes and lowering costs.

Related Experiment Videos

Last Updated: Jun 7, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Healthcare Quality Improvement

Background:

  • Elective deliveries before 39 weeks gestation are prevalent, often outside clinical guidelines.
  • These early-term deliveries are linked to increased neonatal morbidity and healthcare costs.

Purpose of the Study:

  • To review the prevalence and impact of elective deliveries before 39 weeks gestation.
  • To assess the effectiveness of interventions in reducing early-term elective deliveries.

Main Methods:

  • Analysis of recent medical literature on elective deliveries.
  • Evaluation of data from hospital quality improvement programs.

Main Results:

  • Elective deliveries before 39 weeks occur in 28-35.8% of cases, increasing late-preterm births and neonatal complications.
  • Quality improvement initiatives have successfully reduced early-term elective deliveries and associated neonatal morbidity/mortality.
  • No increased stillbirth risk was observed with prevention of early-term elective deliveries.

Conclusions:

  • Enhanced compliance with American College of Obstetricians and Gynecologists (ACOG) guidelines is achievable.
  • Quality improvement processes, including education and data tracking, reduce elective deliveries before 39 weeks.
  • Strict policy enforcement is key to minimizing early-term elective deliveries and improving neonatal outcomes.